Nisan 2011
Endosonografi ile submukozal lezyonlarin ayirici tanisi
Differential diagnosis of submucosal lesions with endosonography
- Ana Sayfa
- Sayılar
- Nisan 2011
- Endosonografi ile submukozal lezyonlarin ayirici tanisi...
Memorial Antalya Hastanesi, 2Genel Cerrahi ve 3Gastroenteroloji Klinigi, Antalya
Özet
Giris ve Amaç: Bu çalismada, üst gastrointestinal sistem endoskopisinde saptanan submukozal kitleleri endoskopik ultrasonografi ile degerlendirerek etyolojik nedenlerini saptamayi amaçladik. Gereç ve Yöntem: Çalismamiz, Izmir Atatürk Egitim ve Arastirma Hastanesi Gastroenteroloji Klinigi?nde Aralik 2008Mayis 2010 tarihleri arasinda prospektif olarak yapildi. Çalismaya endoskopide submukozal lezyon saptanan 87 olgu dahil edildi. Olgular radial endoskopik ultrasonografi ile incelendi. Gereken olgulara Lineer endoskopik ultrasonografi ile biyopsi yapildi. Lezyonlar intramural, ekstramural, benign ve malign olarak siniflandirildi. Bulgular: Hastalarin 39?unda (%44,8) intramural, 28?inde (%32,1) ekstramural lezyon izlendi. Yirmi (%22,9) olguda endosongrafide lezyon görülmedi. Intramural lezyonlarin 14?ü, ekstramural lezyonlarin 7?si malign iken, intramural lezyonlarin 25?i, ekstramural lezyonlarin 21?i benign karekterde lezyondu. 13 olguya lineer endosongrafi ile ince igne aspirasyon sitolojisi yapilarak tani konuldu. Sonuç: Endoskopik olarak izlenen submukozal lezyonlar, yüksek olasilikla altta yatan malignbenign bir patolojiyi göstermektedir. Submukozal lezyonlarin görüntülenmesinde ve tanisinin konmasinda, etkin minimal invaziv bir yöntem olarak endosonografi ilk akla gelmesi gereken degerlendirme yöntemi olmalidir.
Abstract
Background and Aims: We aimed to determine the etiological factors of submucosal lesions seen during upper gastrointestinal system endoscopy utilizing endosonography. Materials and Methods: Our study was done prospectively between December 2008 and May 2010 in the Gastroenterology Department of Izmir Ataturk Training and Research Hospital. Eighty-seven cases with submucosal lesions determined during endoscopy were included in the study. Cases were examined with radial endosonography. Biopsy was performed with linear endosonography when required. Lesions were classified as intramural, extramural, benign, and malignant. Results: Thirty-nine (44.8%) intramural and 28 (32.1%) extramural lesions were observed in the patients. No lesion was observed in 20 cases (22.9%) on endosonography. While 14 intramural and 7 extramural lesions were malignant, 25 intramural and 21 extramural lesions were benign in nature. Thirteen cases were diagnosed with fine needle aspiration cytology (FNAC) with endosonography. Conclusions: Submucosal lesions seen in endoscopy indicate underlying malignant-benign pathology with a high degree of probability. Endosonography as an effective minimally invasive method should be the first evaluation method to remember in the visualization and diagnosis of submucosal lesions.
